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General NPI Number Information
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NPI Number | 1336829019
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Entity Type | Individual
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Provider Name | JACQUELINE M LIMA DMD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1325 W AIRY ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-4357
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Country | US
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Telephone | 610-275-1565
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Fax |
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Provider Business Mailing Address
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Address Line | 26 SELWYN RD
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City | RANDOLPH
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State | MA
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Zip | 02368-5138
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS044597
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License Number State | PA
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